Individual provider Active NPI

Justyn Dennis Blankenship, D.O.

  • Urology Physician
  • Huntington, WV
National Provider Identifier
1639605124
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
3919 Issued in WV
Practice address
1115 20TH St Ste 107
Huntington, WV 25703-0003
Phone
(304) 691-1900
NPI assigned
May 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 3919 WV Primary

Addresses

Primary practice location

1115 20TH St Ste 107
Huntington, WV 25703-0003

Mailing address

1115 20TH St Ste 107
Huntington, WV 25703-0003
Phone (304) 691-1900

Other practice location 1

3075 US Route 60
Huntington, WV 25705-8859
Phone (304) 399-4650

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Justyn.blankenship@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220819002439 WV Practitioner - Urology 4688923279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
West Virginia School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1115 20TH St
Suite 107
Huntington, WV 25703-0003
Phone (304) 691-1900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Aug 29, 2022 Accepting new patients
University Physicians & Surgeons, Inc Urology CurrentSince Aug 29, 2022 Accepting new patients

Locations

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1115 20th St
Ste 107
Huntington, WV 25703
Phone (304) 691-1200

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

Interoperability endpoints

  • Direct secure messaging: justyn.blankenship@marshall.cernerdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639605124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 20TH ST STE 107",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257030003",
            "telephone_number": "304-691-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 20TH ST STE 107",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257030003",
            "telephone_number": "304-691-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3075 US Route 60",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058859",
            "country_code": "US",
            "telephone_number": "304-399-4650",
            "fax_number": "304-399-4651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "JUSTYN",
        "middle_name": "DENNIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "3919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Justyn.blankenship@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1115 20th St Ste 107",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257030003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.